Khadeeja Mirza

NPI 1649705344 · on the registry since 2017

Practice

Address: 2702 Clayton Rd
207
Concord, CA 94519
Phone: (925) 771-3100
Organisation at this address: First Place For Youth
John F. Kennedy University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 104100000X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California